Get Hospital Quarterly - Oshpd Ca

The HOSPITAL QUARTERLY - Oshpd Ca is an essential document for healthcare facilities to report financial and utilization data. This guide provides a comprehensive approach to filling out the form online, ensuring clarity and accuracy for all users.

Follow the steps to complete the form accurately.

1. To begin, locate and click the ‘Get Form’ button to obtain the HOSPITAL QUARTERLY - Oshpd Ca form and open it for editing.
2. Enter your facility's DBA (Doing Business As) Name in the designated field at the top of the form. This identifies your hospital clearly.
3. Complete the address section by filling in the Street Address, City, and Zip Code accurately to ensure proper identification of the location.
4. Identify the Chief Executive Officer or Administrator of the facility by providing their name in the respective field.
5. Fill in the OSHPD Facility Number, which is a vital identifier for your reporting.
6. Provide the contact details for the individual preparing the report, including their name and phone number with the extension if necessary.
7. Indicate the Report Period by selecting the correct dates that correspond to your facility's data submissions. Make sure to note the due dates for timely reporting.
8. Complete the utilization data sections, such as the number of licensed, available, and staffed beds, as well as hospital discharge figures. Ensure all figures are calculated accurately.
9. Proceed to fill out the financial data items, which require details on gross inpatient and outpatient revenue, deductions from revenue, and net patient revenue. Use precise figures for each category.
10. Finally, review all entries for accuracy, save your changes, and take the option to download, print, or share the completed form upon finalization.

Complete your HOSPITAL QUARTERLY - Oshpd Ca form online with confidence and ensure your data is reported accurately.